HomeMy WebLinkAboutBuilding 06-0424
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S. z 4- tJ(v
File
City
Applicant
I PERMIT NO. 0& . ()42~
White
Pink
Yellow
n at bottom)
flCJ/ 5"l-/o/)t/1 Crele NJ
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PI' /'()Y
(Phone)
! IJJ! e
IcJ. tj9tJ'3'ftJ)
ufJ~nl-
u ib- n vi-- Cr c/ e Iu-A/
(Address)
PID
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch e.Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
OMisc
A
R
5
B
S
III
H
2
IV
I
3
V
M
4
I
E
II
F
I
U
PROJECT COST /V ALUE
(excluding land)
$
. f1 . ed mformation on this application which is to the best of my knowledge true and correc\, I also certify that I am the owner or authorIzed agent [l)r the
'ly and that, nstrucl10n wtll conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans, I am aware that the buildmg
ermIl ust cause urthermore, I hereby agree that the City official or a designee may enter upon the propel1y to perform need7;y~'~{pt
Contractor's License No. Date
x
Permit Valuation
Park Support Fee
SAC
fJC . (1)
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
TOTAL DUE
Paid
Date
?r.,
.c. ..)J-.G /[?
I ~~c;S;o. s/4tf7
I
#
#
#
#
$
$
$
$
$
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ThIS IS to certIfy that the request 10 the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested, Tim document
when signed by the City Planner constitutes a temporalY Certificate of Zonmg complrance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
isslIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions. if any